CALL 302-567-2726 • RESERVE A TABLE

Individual Registration

Please enter information in the form below to process registration for event A Very Kristina Kelly Christmas .

Ticket Information

Ticket Type Price Quantity
One Person Table $5.00
Two Person Table $10.00
Three Person Table $15.00
Four Person Table $20.00
Five Person Table $25.00

Payment Information

Coupon
Amount
$
Discount Amount
$
Gross amount
$
Payment Method
Credit Card
Credit Card Number*
Expiration Date*
/
Card (CVV) Code*
Card Holder Name*

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